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Environmental and Drug Effects on Patients With Pacemakers and Implantable Cardioverter/Defibrillators
A Practical Guide to Patient Treatment
Nora Goldschlager, MD;
Andrew Epstein, MD;
Paul Friedman, MD;
Eli Gang, MD;
Ryszard Krol, MD, PhD;
Brian Olshansky, MD;
for the North American Society of Pacing and Electrophysiology (NASPE)
Practice Guideline Committee
Arch Intern Med. 2001;161:649-655.
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INTRODUCTION
The potential for interaction between pacemakers and implantable cardioverter/defibrillators
(ICDs) and the medical and nonmedical environment, and between these devices
and certain cardioactive drugs, has been recognized for years. Whereas a number
of experimental and clinical studies have been performed to define some of
these interactions, in many instances data are sparse and anecdotal clinical
experiences form the basis for decision making and recommendations. Nevertheless,
given the proliferation of rhythm-management devices in use in the population
today, practitioners may find a guide to management of these patients helpful.
This management guideline is therefore offered not as an extensive, literature-based
review, but as a framework on which to understand specific types of problems
that may be encountered in the . . . [Full Text of this Article]
ELECTROMAGNETIC INTERFERENCE IN PATIENTS WITH IMPLANTED PACEMAKERS
AND ICDs
Household Appliances Airport Security Devices Cellular Telephones Electronic Article Surveillance Systems Medical Sources of EMI Magnetic Resonance Imaging
METABOLIC AND DRUG EFFECTS ON CARDIAC PACEMAKERS
Metabolic Effects on Myocardial Stimulation Drug Effects on Cardiac Pacemakers: Antiarrhythmic Drugs Drug Effects on Defibrillators Sensing and Detection Pacing Function Defibrillation Beneficial Medications
Dr Epstein has been an investigator for Guidant Corp, Medtronic Inc,
St Jude Medical, and Biotronik GmbH & Co. He also chairs the Events Committee
for Guidant Corp.
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